Learn to apply the current and correct CPT codes across various medical specialties.
This Viewpoint discusses the need for existing quality and reimbursement programs to adjust their data collection and quality measurement to ensure that data reported and reimbursement provided truly reflect the patient population being treated.
This cross-sectional study examines the association between a hospital’s share of privately insured patients and diagnostic coding practices.
This cross-sectional study assesses the use of Medicare's cognitive assessment and care planning codes in the first 2 years of their introduction.
This quality improvement study assesses the comorbidities associated with COVID-19 diagnostic codes in US health insurance claims.
This cross-sectional study examines the changes in coding of coronary artery bypass graft procedures after the transition from the International Classification of Diseases, Ninth Revision to the Tenth Revision.
This study uses administrative claims data to describe trends in use of ICD-10-CM diagnosis codes for novel coronavirus patients in January-May 2020, before and afer the April 1 release of the U07.1 code to facilitate billing for and case monitoring of COVID-19.
This study uses Medicare data to estimate mortality differences for common medical conditions (pneumonia, heart failure, chronic obstructive pulmonary disease, urinary tract infection, others) at US critical access vs non–critical access hospitals between 2007 and 2017 with vs without adjustment for discharge diagnosis counts to assess the extent to which coding practices rather than illness severity might account for observed mortality differences.
This Viewpoint argues for separation of physician performance measurement from RVU production as a means to refocus physicians away from billing toward patient-centered values that could improve patients’ experience, reduce potential harms from the overtreatment that RVUs incentivize, and improve physicians’ work life and satisfaction.
This diagnostic study uses Health and Retirement Survey and linked Medicare data to develop and validate an administrative approach to identifying older adults with fall-related injuries and to quantify the inclusiveness and validity across a spectrum of potential diagnoses of fall-related injuries.
In the context of a Centers for Medicare & Medicaid Services proposal to simplify evaluation and management (E/M) documentation guidelines by 2021, this Viewpoint reviews the problems with current implementation of review-of-systems history taking in electronic health records (EHRs), including information overload, lack of follow-up of findings, clinical irrelevance to some patients and visits, and dishonesty in documentation.
This study examines the appropriate use of percutaneous coronary interventions in New York, Michigan, and Florida using Healthcare Cost and Utilization Project state databases.
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